Tag Archives: Invisalign

Blacklisted by Best Dentist

I’m afraid I’ve been blacklisted by the best dentist in the area. He came highly recommended by several of my friends. They’ve all been to him for various cosmetic procedures, from whitening through veneers, and everyone says such wonderful things about him. Maybe I built him up too much in my mind, but I recently went in for a consultation about having my teeth fixed up a bit. I have some awkward spacing and one tooth is a little twisted. I wanted to have them straightened out and whitened. Everything seemed fine. I met him and thought he was fantastic. He talked up veneers and I felt great. But, then his assistant came in after and gave me the estimate—it was thousands more than I could afford. I asked if there were alternative solutions and the girl huffed at me a bit and then went and got the dentist. He came back and basically told me that if I didn’t want to do it his way, I shouldn’t be in his office.

I was devastated. I really thought this guy would be great, but I can’t afford to go through with the treatment and my friends keep asking me when I’m going in to see him. I have absolute faith in his capabilities, I just wish he’d work with me on treatment. Is there any way to salvage this?

Thanks,

Anonymous In MA

Dear Anonymous,

Woman giving thumbs up in a dental chair
How do you know if you have the best dentist for your needs?

Let’s be realistic for a moment here. If he was the best dentist, would he be treating you this way? The answer is no.

He’s Not Taking Good Care of You

Perhaps he has amazing artistic skill and can craft beautiful smiles, but that’s only half the battle. Being able to make patients feel comfortable and helping them get around their barriers is equally important. In your case, cost is a barrier.

A good dentist would understand this and pitch solutions that work within your limitations. Perhaps you might be better getting six porcelain veneers instead of two or four. Maybe that is the best way to improve your smile. At the same time, maybe two will provide you with adequate results and be a bit more affordable. Or, perhaps Invisalign combined with teeth whitening is a better option for your budget. There are always multiple approaches. If he isn’t willing to explore them with you, he’s not doing you justice.

You Can Find a Better Dentist

Go have a consultation with another dentist and be upfront about your budget from the onset. A great dentist will go over your options with you. For what it’s worth, you don’t have to explain to your friends why you’re seeing someone else. The prior office has an obligation to keep your information confidential, so unless you tell your friends why you left, they never need to know.

This blog is sponsored by Salem Dentist Dr. Burba.

How Do I Know if I Have TMJ or TMD?

I’m at a loss. I’ve been doing some research and have narrowed it down to two conditions, but I can’t tell the difference between them so don’t know who to see.
Here are my symptoms:

  • Jawpain
  • Headaches
  • Clicking in jaw
  • Teeth have shifted

Do I have TMJ or TMD? Who do I see for it?

Marilyn

Dear Marilyn,

A Chart showing how joints muscles and teeth all work together in TMJ

I understand why you’re confused. These two acronyms are used interchangeably. TMD stands for Temporomandibular Disorder. TMJ stands for Temporomandibular Joint. When the joint is out of alignment, which can happen for several reasons as seen in the chart above, it causes TMD.

Your symptoms are pointing to this disorder, whether you call it TMJ or TMD. You’ll want to see a dentist, but not just any dentist. First, not all dentists treat it because it is so complex. Secondly, some do treat it who shouldn’t. You really want a dentist who’s invested significant training in diagnosing and treating this disorder. As an example, look at Dr. Burba’s TMJ Dentist credentials. This is the type of dentist you want to find in your area.

What to Look for in TMJ Treatment

Because TMJ is so complex, it is imperative your dentist finds the underlying cause of your TMJ in order to begin proper treatment. You also want to start with the least invasive treatment possible. For instance, if it turns out your problem has stemmed from nighttime grinding, the first thing to do is protect your teeth from any further damage.

From there, you can take up repairing the damage. Maybe your teeth are ground down to nubs and you need dental crowns. Or possibly, your teeth have been pushed out of place and you need Invisalign to realign your bite. Maybe you need a combination. The key is a dentist who knows what to look for.

This blog is brought to you by Dr. Randall Burba.

Are Tooth Bands A Good Alternative to Porcelain Veneers?

I have a tooth gap that I told my dentist I wanted to fix. He suggested braces, but I wasn’t keen on wearing metal on my mouth. Then he suggested porclain veneers. I liked the idea, but they are so expensive. I recently saw an add for tooth bands that close gaps. Is that a good alternative?

Ebony K. – New York

Ebony,

Unfortunately, tooth bands are a gimick that could actually end up costing you your teeth. While they will pull the gap closed, they do it by loosening and tipping your teeth. Orthodontics, move the teeth in proper stages AND give the surrounding bone time to reform around the roots.

I do have good news for you though. If you don’t like the expensive of porcelain veneers, there are other ways to repair your gap. If you want to close the gap, without metal braces, you could get Invisalign. These use clear aligners, that are not visible to others when they’re on your teeth.

If you don’t want any orthodontics, but just immediately want to close the gap, then dental bonding can do that, at a fraction of the cost of porcelain veneers.

I’m actually surprised your dentist suggested veneers before bonding.

This blog is brought to you by Dr. Randall Burba.

Embarrassed about a gap between my teeth

Hi,

My name is Stacey. I’m 15 years old. I have a small gap between my front teeth that really embarrasses me.  One of my friends said that her sister had that and when her wisdom teeth came in, it closed the gap. Can that happen to me or do I need braces. Will braces help if my teeth are already straight?

Stacey,

In only a small percentage of people will wisdom teeth erupting close a tooth gap. That being said, it won’t hurt you to ask your dentist if your wisdom teeth are coming in properly with the possibility of closing up your diastema (the gap). If he says it isn’t, things aren’t hopeless. You have other options.

You can close your teeth through orthodontics. Because your teeth are fairly straight, you will more than likely be a good candidate for Invisalign. That way you could close the gap without anyone knowing you are wearing braces.  Another option is to get porcelain veneers placed on your front teeth. A word of warning here. Be sure you go to an excellent cosmetic dentist. You want them to be able to match your other teeth perfectly. Look for someone who is AACD accredited. You’ll be in great hands then.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.